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Procedures
     
  Breast Augmentation

The goal of this 1 to 2 hour procedure is to enhance breast size by using saline-filled implants. Breast augmentation is usually an outpatient procedure, involving local anesthesia with sedation, or general anesthesia. Side effects include temporary soreness, swelling, change in nipple sensation, and bruising. Risks include deflation, formation of scar tissue around the implant, bleeding, and infection. Surgical removal or replacement of implants may be necessary if any of the above conditions occur. Recovery usually takes only a few days; scars may last for several months or longer.

Breast Lift

This 1-3 hour procedure involves removing excess skin and repositioning remaining tissue and nipples in order to raise and reshape sagging breasts. Breast lifts are usually outpatient, but sometimes inpatient, and involve local anesthesia with sedation or general anesthesia. Temporary bruising, swelling, discomfort, numbness, dry breast skin, and permanent scars are all side effects. Risks include thick, wide scars, skin loss, infection, unevenly positioned nipples, and permanent loss of feeling in nipples or entire breast. Recovery will take at least a week, and patients will need to abstain from strenuous activities for one month after surgery. Scars will take several months to a year to fade. Duration of results may vary depending on pregnancy, aging, and weight changes. Results can be enhanced by inserting breast implants as part of the procedure.

Chemical Peel

A Chemical peel can restore wrinkled, blemished, unevenly pigmented, or sun-damaged facial skin using a chemical solution that peels away the top layers of skin. This procedure is most effective on fair, thin skin with superficial wrinkles. Usually an outpatient procedure, a facial peel takes 1 to 2 hours and does not involve anesthesia. Side effects are; temporary throbbing, tingling, swelling, redness, and acute sensitivity to sun. A phenol peel can cause permanent lightening of treated skin and permanent loss of the ability to tan. Risks associated with chemical peels include temporary tiny whiteheads, infection, scarring, flare-up skin allergies, fever blisters, can cold sores. Phenol peels can cause permanent abnormal color changes and in rare cases, heart irregularities. New skin grows back within 5 to 10 days, but in the case of a phenol peel, skin takes 7-21 days to recover. Results are variable. Phenol treatment is permanent, but new wrinkles may form as skin ages.

Collagen/Fat Injections

Collagen and fat injections plump up creased, furrowed, or sunken facial skin, add fullness to lips, and backs of hands. They are most effective on thin, dry, light colored skin. This is a short, outpatient procedure, usually only 15 minutes to 1 hour in duration. Anesthesia is usually not used for collagen injections; local anesthesia is used for fat injections. Side effects include; temporary stinging, throbbing, or burning sensation, as well as faint redness, swelling, or excess fullness. When you get a collagen injection you risk getting an allergic reaction such as a rash or hives, or flu-like symptoms. Collagen injections may trigger connective-tissue or autoimmune diseases. With either collagen or fat procedures, you risk contour irregularities and infection. Results only last for a few months to a year.

Dermabrasion

In this procedure, a mechanical, high-speed rotary wheel is used to scrape off the top layers of skin. This serves to soften sharp edges of surface irregularities, including acne and other scars and fine wrinkles around the mouth. Dermabrasion can take anywhere from a few minutes to one hour. Local anesthesia is usually used. Most often outpatient, this procedure may require more than one session. Side effects include temporary tingling, burning, or itching sensations. Swelling and redness may also occur. Treated skin may become lighter, lose the ability to tan, or become acutely sensitive to the sun. Dermabrasion patients risk permanent abnormal color changes, temporary tiny whiteheads, infection, scarring, skin allergy flare-up, fever blisters, and cold sores. Recovery takes two weeks before you can return to work. The patient must not engage in strenuous activities for 4 to 6 weeks. It takes about 3 months for the redness to fade. Results are permanent, but new wrinkles may form as your skin continues to age.

Ear Surgery

Ear surgery can set prominent ears back closer to the head or reduce the size of large ears. It is usually performed on children between the ages of 4 and 14 years, and takes between 2 and 3 hours. General anesthesia is used for young children, while older children and adults have the option of general or local, with sedation. Ear surgery is usually outpatient. Temporary throbbing, aching, swelling, redness, and numbness may result. Those who choose to undergo ear surgery risk infection of cartilage, excessive scarring, blood clots, mismatched or artificial-looking ears, or recurrence of the protrusion. Recovery generally takes a week. The patient should stay away from strenuous activity and contact sports for a couple months. Results are usually permanent.

Eyelid Surgery

Eyelid surgery aims at correcting drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. If used to correct visual field defects, this 1-3 hour procedure may in fact be covered by your insurance. Usually outpatient, Eyelid surgery usually requires local anesthesia with sedation. Side effects include; temporary discomfort, tightness of lids, swelling, bruising, temporary dryness, burning, itching, excessive tearing, and sensitivity to light for the first few weeks. When you get eyelid surgery, you risk temporary blurred or double vision, infection, bleeding, swelling, dry eyes, formation of whiteheads, slight asymmetry in healing or scarring, temporary difficulty in closing eyes completely, pulling down of the lower lids, and in extremely rare circumstances, blindness. After this procedure has taken place, the patient will be reading within 2-3 days, and back to work in just over a week. They will have to wait two or more weeks to wear contact lenses again and should abstain from strenuous activities and alcohol for about 3 weeks. It will take several weeks before any bruising and swelling completely disappears. Results last for several years.

Facelift

The purpose of a facelift, which is most often performed on men and women over 40, is to improve sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, and redraping skin. It is a relatively long procedure, lasting for several hours, and involving local anesthesia with sedation, or general anesthesia. Although it is usually outpatient, some facelift patients may require a short inpatient stay. Patients may experience temporary bruising, swelling, numbness and tenderness, or tight, tender, dry skin. Male patients will have to shave behind their ears for the rest of their lives, where beard-growing skin has been repositioned. Patients risk injury to the nerves that control facial muscles or feeling that may or may not be permanent. Infection, bleeding, excessive scarring, or asymmetry in hairline are also among the risks associated with facelift. The recovery period normally lasts between 10 and 14 days, but it will be 2 weeks or more before the patient can engage in strenuous activity. Sun exposure must be limited for several months. Any resultant bruising will last for only 2 or 3 weeks. A facelift lasts between 5 and 10 years.

Facial Implants

Facial implants change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline. Although it is usually an outpatient procedure that takes between 30 minutes and 2 hours, an overnight hospital stay is occasionally required. Anesthesia is local with sedation, or general. Some side effects are temporary discomfort, swelling, bruising, numbness, and stiffness. If jaw surgery is involved, another temporary side effect is the inability to open the mouth fully for several weeks. People who get facial implants risk shifting or imprecise positioning of the implant, infection around the implant, or excess tightening and hardening of scar tissue surrounding the implant. After getting a facial implant, a patient will have to stay home from work for about a week, and will not get their normal appearance back for 2-4 weeks. It is important to stay away from activity that could jar or bump the face for 6 or more weeks. Results are permanent.

Forehead Lift

Also known as a brow lift, this procedure involves removing excess tissue, altering muscles and tightening the forehead skin in order to minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead, and frown lines. Most often done on patients over 40, the forehead lift can involve one incision across the top of the head just behind the hairline, or 3 to 5 short incisions. Usually an outpatient procedure, a forehead lift takes 1 or 2 hours and involves putting the patient under local anesthesia with sedation, or general anesthesia. Temporary swelling, numbness, headaches, bruising, itching, and hair loss are all possible side effects. Patients risk injury to facial nerve, which causes loss of motion, muscle weakness, or asymmetrical look. Infection and broad or excessive scarring are also risks. Recovery takes 7 to 10 days, but it may be several weeks before the patient can participate in strenuous activity, or recovers from bruising. Sun exposure should be limited for several months. The results usually last for 5 to 10 years.

Hair Replacement Surgery

This procedure involves filling in balding areas with a patients own hair. A variety of techniques can be used, including scalp reduction, tissue expansion, strip grafts, scalp flaps, or clusters of punch grafts. Works best on men after hair loss has ceased. The procedure length is 1-3 hours, but certain techniques require multiple procedures of an 18 month period. Local anesthesia with sedation is most often used, but specific techniques, such as flaps and tissue expansion, may be done with general anesthesia. This is usually an outpatient procedure. Hair replacement can cause a temporarily achy, tight scalp, or an unnatural look in the early stages. Risks include; unnatural looking results, infection, excessive scarring, failure to “take”, and loss of scalp tissue/transplanted hair. After undergoing this surgery, a patient will usually be back to work within 5 days, but should wait an additional couple of weeks before engaging in more strenuous activities. The final look may take 18 months or more to fully develop, but once it has, it will be permanent.

Laser Facial Resurfacing

In this procedure, a carbon dioxide laser device is used to treat layers of damaged skin. The result is a smoother face, with minimal lines around the eyes and mouth, facial scars, and unevenly pigmented skin. Unless it is combined with other surgical procedures that require hospitalization, laser facial resurfacing is an outpatient procedure. Side effects that may be experienced include temporary swelling, discomfort, lightening of skin, sun sensitivity, sensitivity to makeup, and pinkness in skin that may persist for up to 6 months. The risks associated with this procedure are burns or injuries caused by laser hear, scarring, abnormal skin color changes, and flare-up of viral infections, such as cold sores. Someone who has undergone laser facial resurfacing will be back at work in 2 weeks, but more strenuous activities will be off limits for 4-6 weeks. It can take up to six months for redness to completely fade, and 6-12 months for return of pigmentation (the ability to tan). The effects are generally long lasting, but this procedure does not prevent new wrinkles and expression lines from forming as skin ages.

Liposuction

Liposuction improves body shape by removing exercise-resistant fat deposits with a tube and vacuum device. The tumescent technique of liposuction involves infusing targeted fat cells with solution containing saline with a local anesthetic before liposuction to reduce bruising and swelling. Commonly targeted areas are; the chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles. There is also a new technique called ultrasound-assisted lipoplasty (UAL), which may be used for larger volumes of fat or fibrous body areas. This technique involves the insertion of an ultrasound probe beneath the skin to liquefy the fat before the suctioning takes place. The procedure can take more than the usual 1 to 2 hours, especially if it is a UAL, which takes 20-40% more time. Local, epidural, or general anesthesia can be used, depending on the case. Extensive procedures may require a short inpatient stay, but Liposuction is usually outpatient. Liposuction can induce side effects such as temporary bruising, swelling, numbness, soreness, and burning sensations. The tumescent procedure can cause temporary fluid drainage from incision sites. A patient undergoing liposuction risks asymmetry, rippling or bagginess of skin, pigmentation changes, skin injury, fluid retention, infection, and excessive fluid loss leading to shock. The heat from the ultrasound device used in the UAL procedure can potentially cause a thermal burn injury. Recovery ranges from 1 to 2 weeks. Patients should avoid strenuous activity for 2-4 weeks. Full recovery from swelling and bruising may take several months. Paired with sensible diet and exercise, liposuction is permanent.

Male Breast Reduction

Enlarged, female-like breasts in men can be reduced using liposuction and/or removal of excess glandular tissue. General or local anesthesia can be used, and the procedure takes an hour or more. In most cases Male Breast Reduction is outpatient. The patient may experience side effects such as temporary bruising, swelling, numbness, soreness, and burning sensation. Risks include infection, fluid accumulation, injury to the skin, rippling or bagginess of the skin, asymmetry, pigmentation changes, and excessive scarring. A second procedure may be required to remove additional tissue. The patient will usually be back to work within a week, but unable to partake in strenuous activity for a few weeks. Swelling and bruising may last for several months.

Nose Surgery

Patients undergo nose surgery with the intent of reducing or increasing their nose size, or reshaping it. If the surgery is required to relieve breathing problems, it may be covered by insurance. A nose job takes 1 to 2 hours or more. General, or local anesthesia paired with sedation can be used. This procedure is usually outpatient. Temporary swelling and bruising around eyes and nose may occur, along with headaches. Some bleeding and stiffness usually accompanies this surgery. If you choose to have nose surgery, you risk infection, tiny, permanent red spots, and unsatisfactory improvement. Patients will recover within a couple weeks, but should wait 2-3 weeks before engaging in strenuous activities. It is important to avoid hitting or sunburning the nose for 8 weeks. The final product will not be in place for over a year, but once it is, it is permanent.

Tummy Tuck

A tummy tuck flattens the abdominal region by tightening abdominal wall muscles and by removing excess fat and skin. This procedure takes between 2 and 5 hours and is done under general anesthesia, or local with sedation. Depending on the extent of the surgery, a tummy tuck can be either in or outpatient. Common side effects include; temporary pain, swelling, soreness, numbness, bruising, and tiredness for several weeks or months. Patients risk blood clots, infection, bleeding under the skin flap, conspicuous scarring, or skin loss. Recovery generally takes 2 to 4 weeks, and may be more than 6 weeks before it is safe to take part in more strenuous activity. It can take up to 2 years for scars to fade.
 
 
   
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